Ministry of Health, Ankara Etlik Ihtisas Training and Research Hospital, Transplantation Clinic, Ankara, Turkey.
Ren Fail. 2009;31(10):899-903. doi: 10.3109/08860220903216105.
The aim of the present study was to analyze the effects of ureteral stents used in renal transplantation on urologic as well as other complications. Cases of renal transplants from living or deceased donors performed in our hospital were retrospectively evaluated. The effects of the routine use of ureteral stents on postoperative complications were investigated. All outcomes and complications encountered during the postoperative follow-up were recorded. The Lich-Gregoire technique, which is a method of extravesical ureteroneocystostomy, was performed on all patients. One hundred and twenty-two patients underwent renal transplantation between 2001 and 2007 in our hospital. Stents were placed routinely in all patients. Leakage was observed in one patient, and one patient developed an obstruction; however, none of the patients developed an infection. A lymphocele developed in one patient. All urologic complications were treated without major morbidity. Graft loss did not occur. Complications following urinary anastomosis have a high rate of morbidity in renal transplantation. Ureteral stenting in renal transplant recipients prevents early urologic complications. The data generated in the current study were compared to the literature.
本研究旨在分析肾移植中使用输尿管支架对泌尿科及其他并发症的影响。回顾性评估了我院行活体或尸体供肾移植的病例。研究了常规使用输尿管支架对术后并发症的影响。记录了所有术后随访中出现的结果和并发症。所有患者均采用 Lich-Gregoire 技术行经皮肾盂输尿管吻合术。2001 年至 2007 年期间,我院共有 122 例患者接受了肾移植。所有患者均常规留置支架。1 例患者出现漏尿,1 例患者出现梗阻,但均无感染。1 例患者发生淋巴囊肿。所有泌尿系统并发症均无需重大并发症即可治疗。未发生移植物丢失。尿路吻合术后并发症在肾移植中发病率较高。肾移植受者留置输尿管支架可预防早期泌尿系统并发症。本研究的数据与文献进行了比较。